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Questions and Answers
What is the definition of health?
What is the definition of health?
A relative state of well-being across facets.
What is the definition of a health assessment?
What is the definition of a health assessment?
Comprehensive evaluation of a person's health status.
What is the definition of the nursing process?
What is the definition of the nursing process?
A systematic approach to patient care.
What is the definition of assessment in the nursing process?
What is the definition of assessment in the nursing process?
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What is the definition of diagnosis in the nursing process?
What is the definition of diagnosis in the nursing process?
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What is the definition of planning in the nursing process?
What is the definition of planning in the nursing process?
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What is the definition of implementation in the nursing process?
What is the definition of implementation in the nursing process?
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What is the definition of evaluation in the nursing process?
What is the definition of evaluation in the nursing process?
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What is the definition of physical health?
What is the definition of physical health?
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What is the definition of emotional health?
What is the definition of emotional health?
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What is the definition of social well-being?
What is the definition of social well-being?
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What is the definition of cultural influences?
What is the definition of cultural influences?
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What is the definition of spiritual influences?
What is the definition of spiritual influences?
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What is the definition of environmental influences?
What is the definition of environmental influences?
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What is the definition of developmental level?
What is the definition of developmental level?
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What is the definition of health history?
What is the definition of health history?
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What is the definition of a physical examination?
What is the definition of a physical examination?
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What is the definition of a head-to-toe examination?
What is the definition of a head-to-toe examination?
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What is the definition of risk factors?
What is the definition of risk factors?
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What is the definition of patient education needs?
What is the definition of patient education needs?
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What is the definition of medical records?
What is the definition of medical records?
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What does ADPIE stand for?
What does ADPIE stand for?
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What is the definition of a nursing diagnosis?
What is the definition of a nursing diagnosis?
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What is the definition of implementation in relation to nursing interventions?
What is the definition of implementation in relation to nursing interventions?
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What is the definition of evaluation in relation to nursing interventions?
What is the definition of evaluation in relation to nursing interventions?
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What is the definition of a comprehensive health assessment?
What is the definition of a comprehensive health assessment?
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What is the definition of a focused assessment?
What is the definition of a focused assessment?
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What is the definition of emergency history?
What is the definition of emergency history?
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What is the definition of a health history interview?
What is the definition of a health history interview?
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What is the definition of a health history format?
What is the definition of a health history format?
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What is the definition of the pre-interview phase?
What is the definition of the pre-interview phase?
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What is the definition of the introduction phase?
What is the definition of the introduction phase?
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What is the definition of the working phase?
What is the definition of the working phase?
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What is the definition of self-reflection?
What is the definition of self-reflection?
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What is the definition of the seven attributes of a symptom?
What is the definition of the seven attributes of a symptom?
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When the symptoms started and contributing factors is the definition of which attribute?
When the symptoms started and contributing factors is the definition of which attribute?
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Specific area of symptoms and radiation is the definition of which attribute?
Specific area of symptoms and radiation is the definition of which attribute?
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Length of time symptoms last is the definition of which attribute?
Length of time symptoms last is the definition of which attribute?
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Nature and severity of symptoms experienced is the definition of which attribute?
Nature and severity of symptoms experienced is the definition of which attribute?
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Other symptoms accompanying the primary issue is the definition of which attribute?
Other symptoms accompanying the primary issue is the definition of which attribute?
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Actions that alleviate symptoms is the definition of which attribute?
Actions that alleviate symptoms is the definition of which attribute?
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Actions that worsen symptoms is the definition of which attribute?
Actions that worsen symptoms is the definition of which attribute?
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Previous treatments attempted and their effectiveness is the definition of which attribute?
Previous treatments attempted and their effectiveness is the definition of which attribute?
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Objectives set to address nursing diagnoses is the definition of which attribute?
Objectives set to address nursing diagnoses is the definition of which attribute?
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What does OLD CART stand for?
What does OLD CART stand for?
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What is the definition of onset in the OLD CART?
What is the definition of onset in the OLD CART?
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What is the definition of location in the OLD CART?
What is the definition of location in the OLD CART?
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What is the definition of characteristic symptoms in the OLD CART?
What is the definition of characteristic symptoms in the OLD CART?
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What is the definition of associated manifestations in the OLD CART?
What is the definition of associated manifestations in the OLD CART?
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What is the definition of relieving factors in the OLD CART?
What is the definition of relieving factors in the OLD CART?
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What is the definition of exacerbating factors in the OLD CART?
What is the definition of exacerbating factors in the OLD CART?
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What is the definition of treatment in the OLD CART?
What is the definition of treatment in the OLD CART?
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What is the definition of feelings in the FIFE?
What is the definition of feelings in the FIFE?
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What is the definition of ideas in the FIFE?
What is the definition of ideas in the FIFE?
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What is the definition of function in the FIFE?
What is the definition of function in the FIFE?
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What is the definition of expectations in the FIFE?
What is the definition of expectations in the FIFE?
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What is the definition of the termination phase?
What is the definition of the termination phase?
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What is the definition of subjective data?
What is the definition of subjective data?
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What is the definition of history of present illness (HPI)?
What is the definition of history of present illness (HPI)?
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What is the definition of key elements of HPI?
What is the definition of key elements of HPI?
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What is the definition of history of past illness?
What is the definition of history of past illness?
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What is the definition of a comprehensive physical examination?
What is the definition of a comprehensive physical examination?
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What is the definition of environmental features?
What is the definition of environmental features?
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What is the definition of cardinal techniques?
What is the definition of cardinal techniques?
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What is the definition of tangential lighting?
What is the definition of tangential lighting?
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What is the definition of patient modesty?
What is the definition of patient modesty?
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What is the definition of draping technique?
What is the definition of draping technique?
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What is the definition of standard precautions?
What is the definition of standard precautions?
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What is the definition of universal precautions?
What is the definition of universal precautions?
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What is the definition of potentially infectious fluids?
What is the definition of potentially infectious fluids?
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What is the definition of protective barriers?
What is the definition of protective barriers?
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What is the definition of hand hygiene?
What is the definition of hand hygiene?
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What is the definition of inspection technique?
What is the definition of inspection technique?
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What is the definition of percussion technique?
What is the definition of percussion technique?
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Ensuring patient feels comfortable during examination is the definition of which aspect?
Ensuring patient feels comfortable during examination is the definition of which aspect?
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What is the definition of auscultation?
What is the definition of auscultation?
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What is the definition of vital signs communication?
What is the definition of vital signs communication?
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What is the definition of curtains and doors?
What is the definition of curtains and doors?
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What is the definition of patient discomfort awareness?
What is the definition of patient discomfort awareness?
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What is the definition of infection control?
What is the definition of infection control?
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What is the definition of lymph node assessment?
What is the definition of lymph node assessment?
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What is the definition of jugular venous pulsations?
What is the definition of jugular venous pulsations?
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What is the definition of body fluid handling?
What is the definition of body fluid handling?
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What is the definition of gait observation?
What is the definition of gait observation?
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What is the definition of skin condition inspection?
What is the definition of skin condition inspection?
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What is the definition of the diaphragm?
What is the definition of the diaphragm?
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What is the definition of the bell?
What is the definition of the bell?
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What is the definition of subjective data when referring to children?
What is the definition of subjective data when referring to children?
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What is the definition of interviewing family caregivers?
What is the definition of interviewing family caregivers?
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What is the definition of establish rapport?
What is the definition of establish rapport?
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What is the definition of age-appropriate communication?
What is the definition of age-appropriate communication?
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What is the definition of interviewing adolescents?
What is the definition of interviewing adolescents?
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What is the definition of vital signs?
What is the definition of vital signs?
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Flashcards
Health
Health
A relative state of well-being across facets, encompassing physical, emotional, social, and spiritual aspects.
Health Assessment
Health Assessment
A comprehensive evaluation of a person's health status, including past medical history, current symptoms, and physical examination findings.
Nursing Process
Nursing Process
A systematic approach to patient care, involving five key steps: assessment, diagnosis, planning, implementation, and evaluation.
Assessment
Assessment
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Diagnosis
Diagnosis
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Planning
Planning
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Implementation
Implementation
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Evaluation
Evaluation
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Physical Health
Physical Health
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Emotional Health
Emotional Health
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Social Well-being
Social Well-being
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Cultural Influences
Cultural Influences
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Spiritual Influences
Spiritual Influences
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Environmental Influences
Environmental Influences
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Developmental Level
Developmental Level
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Health History
Health History
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Physical Examination
Physical Examination
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Head-to-Toe Examination
Head-to-Toe Examination
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Risk Factors
Risk Factors
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Patient Education Needs
Patient Education Needs
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Medical Records
Medical Records
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ADPIE
ADPIE
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Nursing Diagnosis
Nursing Diagnosis
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Implementation
Implementation
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Evaluation
Evaluation
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Comprehensive Health Assessment
Comprehensive Health Assessment
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Focused Assessment
Focused Assessment
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Emergency History
Emergency History
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Health History Interview
Health History Interview
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Study Notes
Health Assessment in Nursing
- Health is a comparative state of well-being across aspects of a person's life.
- Health assessment is a thorough evaluation of a person's health status.
- The nursing process is a systematic way to provide patient care.
- Assessment is the initial phase of the nursing process, involving gathering data.
- Diagnosis is identifying patient health issues.
- Planning involves making action plans for patient care.
- Implementation is the stage of executing the chosen interventions.
- Evaluation assesses the outcome of the nursing actions.
Components of Health
- Physical health: The body's functionality and adaptability.
- Emotional health: Positive emotions and healthy emotional management.
- Social well-being: Supportive relationships with family and friends.
- Cultural influences: Cultural connections that positively affect health.
- Spiritual influences: Living peacefully and ethically.
- Environmental influences: Factors that support health and wellness.
- Developmental level: Cognitive abilities and problem-solving skills.
Data Collection
- Health history: A detailed account of a patient's health background.
- Physical Examination: A structured examination of body systems.
- Head-to-toe examination: A comprehensive assessment method.
- Risk factors: Elements increasing the risk of health issues.
- Patient education needs: Information required for better patient understanding.
- Medical records: Documentation of patient health information.
Nursing Process (ADPIE)
- ADPIE is an acronym for assessment, diagnosis, planning, implementation, and evaluation.
- Nursing diagnosis identifies patient problems requiring care plans.
Data Gathering Methods
- Comprehensive health assessment: Initial assessment upon patient arrival.
- Focused assessment: Data is gathered on specific patient problems.
- Emergency history: Prioritizes collection of data on airway, breathing, and circulation.
- Health history interview: A structured conversation to obtain patient information.
- Health history format: Provides a framework for organizing patient information.
Stages of Patient Interview
- Pre-interview phase: Preparation before the patient interview.
- Introduction phase: Building trust and rapport with the patient.
- Working phase: Obtaining detailed patient information.
- Self-reflection: Personal awareness development during clinical practice.
Symptom Assessment (OLD CART)
- OLD CART is a mnemonic for symptom assessment attributes.
- Onset: When the symptom started.
- Location: Where the symptom is experienced.
- Duration: How long the symptom lasts.
- Characteristic symptoms: Specific qualities of the symptom.
- Associated manifestations: Other symptoms accompanying the primary symptom.
- Relieving factors: Actions that alleviate the symptom.
- Exacerbating factors: Actions that worsen the symptom.
- Treatment history: Details of past treatments and their effectiveness.
- Patient goals: Objectives outlining nursing care for patient problems.
Data Analysis Framework (FIFE)
- FIFE is used to analyze patient perspectives.
- Feelings: Patient's emotional responses to the problem.
- Ideas: Patient's beliefs about the problem's cause.
- Function: How the problem affects daily life.
- Expectations: Patient's hopes for care and outcome.
- Termination phase: The final stage of the interview process.
Data Types
- Subjective data: Patient-reported symptoms and feelings.
- Objective data: Observable signs from physical examination.
- History of Present Illness (HPI): Chronological account of current health issues.
- History of Past Illness: Record of previous health conditions.
Physical Examination Techniques
- Comprehensive physical examination: Thorough assessment.
- Environmental features: Conditions ensuring patient comfort and safety.
- Cardinal techniques: Four main assessment methods (inspection, palpation, percussion, auscultation).
- Tangential lighting: Best for inspecting specific body parts.
- Patient modesty: Respecting patient privacy during exams.
- Draping technique: Expose one body area at a time.
- Standard and Universal precautions: Practices for preventing blood-borne pathogen transmission.
Equipment Use
- Stethoscope: Listening to body sounds (diaphragm for high-frequency, bell for low-frequency).
- Vital signs communication: Sharing results with the patient.
- Bruits: Turbulence sounds over arterial vessels.
Special Considerations
- Infection control: Safe handling of contaminated equipment.
- Lymph node assessment: Checking for swelling or tenderness.
- Jugular venous pulsations: Indication of central venous pressure.
- Body fluid handling: Following safety protocols for exposure prevention.
- Gait observation: Assessing movement and balance.
- Skin condition inspection: Checking for abnormalities.
- Hand hygiene: Essential practice before examining a patient.
- Patient comfort: Ensuring patient comfort during examinations.
Pediatric Considerations
- Subjective/objective data for children: Information collected from child or caregiver.
- Interviewing family caregivers: Gathering info from primary caregiver.
- Establishing rapport with children and caregivers.
- Age-appropriate communication: Using suitable language and tools for children.
- Interviewing adolescents: Private discussion for open communication.
Vital Signs
- Vital signs are measurements of body functions (pulse, temperature, etc.)
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Description
This quiz covers the essential components of health assessment in nursing, focusing on the phases of the nursing process. It explores physical, emotional, social, cultural, spiritual, and environmental influences on health. Test your knowledge about evaluating patient health and planning effective care.